School-based human papillomavirus vaccination program for increasing vaccine uptake in an underserved area in Texas
School-based human papillomavirus vaccination program for increasing vaccine uptake in an underserved area in Texas
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DOI：
10.1016/j.pvr.2019.100189
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发表时间：
2019-12-01
影响因子：
3.2
通讯作者：
Rodriguez, Ana M.
中科院分区：
文献类型：
--
作者：
Kaul, Sapna;Do, Thuy Quynh N.;Rodriguez, Ana M.
目的：比较以社区为基础的HPV相关的教育和现场学校为基础的疫苗接种与社区为基础的教育的有效性，只为增加HPV疫苗的摄取在农村，医学underserved area.Methods：我们的队列包括2307格兰德河市合并独立学区（RGCISD）从3所学校的中学生在2016年8月入学，并一直持续到2018年4月。本研究采用准实验设计，在1所中学（“干预学校”）的周围社区（RGCCISD半径15英里）实施了一项现场以学校为基础的疫苗接种计划，并为家长/监护人，学校护士/工作人员和儿科/家庭提供者进行了关于HPV和HPV疫苗的医生主导的教育，其余2所学校（“比较学校”）仅进行教育。疾病控制和预防中心的HPV相关教育材料补充了教育。HPV疫苗接种状态从学校免疫记录和项目的合同疫苗供应商获得。HPV疫苗的启动和完成率在干预前后以及干预学校和对照学校之间进行了比较。结果：基线时，干预学校HPV疫苗接种率和完成率分别为20.00%和8.70%，均低于对照学校（28.97%和14.56%）。干预后，干预学校的入学率和毕业率均高于对照学校（53.67%和28.36% vs 41.56%和20.53%）。从干预学校的学生超过3.6倍，更有可能新启动/完成HPV疫苗接种比学生从comparison schools.Conclusion：现场接种事件和社区为基础的教育的学校有更高的青少年HPV疫苗接种率相比，只接受社区为基础的教育的学校。
Objective: Compare the effectiveness of community-based HPV-related education and onsite school-based vaccination versus community-based education only for increasing HPV vaccine uptake in a rural, medically un-derserved area.Methods: Our cohort included 2307 Rio Grande City Consolidated Independent School District (RGCISD) middle school students from 3 schools enrolled in August 2016 and followed until April 2018. Using a quasi-experimental design, this study implemented an onsite school-based vaccination program and physician-led education on HPV and HPV vaccines for parents/guardians, school nurses/staff, and pediatric/family providers in the surrounding community (15-mile radius of RGCCISD) at 1 middle school ("intervention school"), and education-only for the remaining 2 schools ("comparison schools"). The Centers for Disease Control and Prevention's HPV-related educational materials supplemented the education. HPV vaccine status was obtained from school immunization records and the project's contracted vaccine vendor. HPV vaccine initiation and completion rates were compared pre and post intervention and between the intervention and comparison schools. Logistic regression was used to compare the odds of newly initiating/completing vaccination between the intervention and comparison schools.Results: At baseline, the intervention school had lower HPV vaccine initiation and completion rates than the comparison schools (20.00% and 8.70% vs 28.97% and 14.56%). Post intervention, the intervention school had higher initiation and completion rates than the comparison schools (53.67% and 28.36% vs 41.56% and 20.53%). Students from the intervention school were over 3.6-times more likely to newly initiate/complete the HPV vaccinations than students from the comparison schools.Conclusion: The school with on-site vaccination events and community-based education had a higher adolescent HPV vaccination rate compared to schools that received community-based education only.